MARC J BRESLOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

BRESLOW

Suffix

Business Name

MARC J BRESLOW MD

Original Issue Date

07/03/2013

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021